Provider Demographics
NPI:1720601404
Name:BAHUVA, RONAK DHIRAJ (MBBS)
Entity Type:Individual
Prefix:
First Name:RONAK
Middle Name:DHIRAJ
Last Name:BAHUVA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 MAIN STREET, UNIVERSITY AT BUFFALO, JACOBS SCHOOL O
Mailing Address - Street 2:SUITE NUMBER/ROOM 7230
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203
Mailing Address - Country:US
Mailing Address - Phone:716-829-6132
Mailing Address - Fax:716-829-3999
Practice Address - Street 1:955 MAIN STREET, UNIVERSITY AT BUFFALO, JACOBS SCHOOL O
Practice Address - Street 2:SUITE NUMBER/ROOM 7230
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-829-6132
Practice Address - Fax:716-829-3999
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program